Evidence map›Paper›PMID 24336914›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2014

Telaprevir in the treatment of acute hepatitis C virus infection in HIV-infected men.

Daniel S Fierer, Douglas T Dieterich, Michael P Mullen, Andrea D Branch, Alison J Uriel, Damaris C Carriero, Wouter O van Seggelen, Rosanne M Hijdra, David G Cassagnol, New York Acute Hepatitis C Surveillance Network

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pharmacological interventions for acute hepatitis C infection.The Cochrane database of systematic reviews · 2018
    Pooled it
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  4. SASLT guidelines: Update in treatment of Hepatitis C virus infection.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2016
    Guideline
  5. Pooled it
  6. Sofosbuvir Plus Ribavirin Without Interferon for Treatment of Acute Hepatitis C Virus Infection in HIV-1-Infected Individuals: SWIFT-C.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Daniel S FiererDivisions of Infectious Diseases.
Douglas T Dieterich
Michael P Mullen
Andrea D Branch
Alison J Uriel
Damaris C Carriero
Wouter O van Seggelen
Rosanne M Hijdra
David G Cassagnol
New York Acute Hepatitis C Surveillance Network
Office of Infectious Diseases · USIcahn School of Medicine at Mount Sinai · US

Funding

Optimizing Vitamin D Treatment in HIV/AIDS: An RCTR01DA031095 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BRANCH, ANDREA D., DIETERICH, DOUGLAS THOMAS · 2010 to 2014
$3.3M
Clinical Outcomes and the HCV Core GeneR01DK090317 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BRANCH, ANDREA D. · 2010 to 2014
$2.0M
Persistent Reservoirs of HIV-1 InfectionK23AI050449 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI FIERER, DANIEL SETH · 2002 to 2006
$741k
NIAID NIH HHS AI-50449NIAID NIH HHS K23 AI050449NIDA NIH HHS DA-031095NIDA NIH HHS R01 DA031095NIDDK NIH HHS DK-090317NIDDK NIH HHS R01 DK090317
6 · The paper itself

Abstract

backgroundThere is an international epidemic of hepatitis C virus (HCV) infection among human immunodeficiency virus (HIV)-infected men who have sex with men. Sustained virologic response (SVR) rates with pegylated interferon and ribavirin treatment are higher in these men during acute HCV than during chronic HCV, but treatment is still lengthy and SVR rates are suboptimal.

methodsWe performed a pilot study of combination therapy with telaprevir, pegylated interferon, and ribavirin in acute genotype 1 HCV infection in HIV-infected men. Men who were treated prior to the availability of, or ineligible for, telaprevir were the comparator group. The primary endpoint was SVR12, defined as an HCV viral load <5 IU/mL at least 12 weeks after completing treatment.

resultsIn the telaprevir group, 84% (16/19) of men achieved SVR12 vs 63% (30/48) in the comparator group. Among men with SVR, median time to undetectable viral load was week 2 in the telaprevir group vs week 4 in the comparator group, and 94% vs 53% had undetectable viral loads at week 4. Most patients (81%) who achieved SVR in the telaprevir group received ≤12 weeks of treatment and there were no relapses after treatment. The overall safety profile was similar to that known for telaprevir-based regimens.

conclusionsIncorporating telaprevir into treatment of acute genotype 1 HCV in HIV-infected men halved the treatment duration and increased the SVR rate. Larger studies should be done to confirm these findings. Clinicians should be alert to detect acute HCV infection of HIV-infected men to take advantage of this effective therapy and decrease further transmission in this epidemic.

Indexed as

AdultAntiviral AgentsDrug Therapy, CombinationHepatitis CHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedOligopeptidesPilot ProjectsAntiviral AgentsOligopeptidestelapreviracute HCVHIV infectionmen who have sex with mentelaprevirtreatment

Identifiers

PMID24336914
PMCPMC3935497
OpenAlexW2102434992

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.